Childbirth and Parenting

I am a certified Childbirth Educator, Doula and Breastfeeding Counsellor, as well as a mother to three boys and five girls. I aim to provide evidence-based instruction and information so that clients and communities can make both healthy lifestyle and parenting choices, and informed decisions about the pre and postnatal care they receive. I can provide and/or connect you to services for group, in-home or online care that is tailored to meet the unique needs of your family. Trained in Safety and Infection Control and Prevention, Effective Communication, Trauma Care and Awareness, and Holistic Nutrition my parenting and childbirth classes offer a holistic and evidence-based approach.

Childbirth and Parenting Classes

Are you interested in?

  • A natural birth
  • Understanding the risks and benefits of options for medication
  • Safety in the home
  • Thinking smart and avoiding vulnerable situations (trafficking prevention)
  • Labor in an upright position
  • Making sure your baby has a good latch and is getting enough milk
  • Healthy communication
  • Understanding the difference and effects of shame, discipline and punishment
  • Cultivating a peaceful home

Class Modules

  • Physical Changes and Physiology of Mother and Baby
  • Nutrition
  • Developing a Birth Plan and Support Team
  • Fears and Concerns
Labor and Delivery
  • Stages of Labor
  • Pain, Positioning and Relaxation
  • Decision Making
  • Babies First Hour
  • Benefits of Breastfeeding
  • Physiology of Breastfeeding
  • Readiness, Positioning, and Latch
  • Problems and Concerns
  • Birth Recovery and Family Dynamics
  • Sleep and Things to Buy
  • Trauma and Mood Disorders
  • Birth Story Reflection
  • Cultivating a Peaceful Home
  • Nature vs. Nurture and Loving Discipline
  • Health & Safety, Education, & Screen Time
  • Family Structure, Goals, and Traditions

Doula Services

A Doula is:

A trained professional who provides continuous physical, emotional and informational support to a mother before, during and shortly after childbirth to help her achieve the healthiest, most satisfying experience possible. -DONA

A Full Spectrum Doula is:

A support person who brings the doula model of care to any pregnancy discourse and outcome, including miscarriage, planned abortion or medical termination, stillbirth, surrogacy or adoption.

Studies have shown that continuous support during labor results in increased normal vaginal births, reduced use of pain medication, more favorable emotions toward childbirth, less risk of Cesarean, shorter labors, and babies that are less likely to have complications at birth. -Evidence Based Birth

As a full spectrum doula, I understand that those who have had past traumatic experiences regarding pregnancy, childbirth, sexual abuse or otherwise may experience effects of their trauma during their pregnancy and/or birth experience.

With training in childbirth education, trauma, health and safety, and Perinatal Mood and Anxiety Disorders, I provide support for any pregnancy situation, planned or unexpected.

Trained as a Birth Doula I offer Birth and Full Spectrum Doula services that include:

  • Prenatal intake and education
  • Birth support
    • Emotional support and encouragement
    • Advocacy
    • Massage and counter pressure
    • Rotational positioning
    • Support to family members
  • Support for any situation across the spectrum of pregnancy outcomes
  • Referral to other professionals when needs are outside of my scope of practice

Labour companionship is a key component of providing respectful maternity care and has been recommended as intrapartum care for a positive childbirth experience and is included as one of the WHO standards for improving the quality of maternal and newborn care in health facilities.

World Health Organization

Breastfeeding Counselling

I believe that breastfeeding is a personal choice, and that for some families the decision to bottle feed is the most appropriate. I am, however, an advocate of breastfeeding and as well as being a Breastfeeding Counsellor and a Certified Childbirth Educator, I have Lactation training in special circumstances including:

  • Breast surgeries
  • Breastfeeding multiples
  • Breastfeeding as a survivor of sexual abuse
  • Breastfeeding during pregnancy
  • Tandem feeding
  • Induced lactation
  • Stillbirth/Death

Breastmilk is the ideal food for infants. It is safe, clean and contains antibodies which help protect against many common childhood illnesses. Breastmilk provides all the energy and nutrients that the infant needs for the first months of life, and it continues to provide up to half or more of a child’s nutritional needs during the second half of the first year, and up to one third during the second year of life.” -WHO

Support and Services

I can provide, or refer you to another qualified professional for, the following services:

  • Breastfeeding Classes
    • Benefits of Breastfeeding
    • Physiology of Breastfeeding
    • Readiness, Positioning, and Latch
    • Problems and Concerns
  • Breastfeeding Counselling
    • By phone/email/messaging
    • In-person
    • At the time of birth plus home visits
  • Breastfeeding Support Groups

The World Health Organization and the United Nations Children’s Fund both recommend that infants initiate breastfeeding within the first hour after birth, and that they be exclusively breastfed for the first 6 months of life.

Trauma and Postpartum

Certified as a Trauma Informed Professional, a Childbirth Educator and in Effective Communication I offer Trauma and Postpartum consultation including evidence-based information, non-clinical assessment and suggested methods of healing/referrals to healthcare professionals as needed.

Birth and sexually related trauma, family trauma and secondary trauma related to family or childbirth can cause traumatic stress responses that can affect family dynamics, relationships and parenting.

It is common to experience a variety of emotions, including feeling “down” following the birth of a baby. We refer to this normal response to childbirth as “postpartum baby blues” and find that it primarily occurs around the third day after delivery and typically lasts around 48 hours, though can last as long as six weeks.

Perinatal (referring to a period of time before and after giving birth) mood and anxiety disorders (PMAD’S) are triggered mainly by hormonal changes, can occur before, right after, or up to a year postpartum and include Postpartum depression, anxiety, postpartum post traumatic stress disorder, panic disorder and postpartum psychosis. Each are recognized mental illnesses with varying degrees of occurrence, severity and need for intervention. Partners can also suffer from PMAD’s.

Perinatal mood and anxiety disorders (PMAD’S) can be treated, and will go away with the right help and care.

If you are experiencing any of the following symptoms, please reach out.

  • discomfort or fear around the baby
  • low self-esteem, guilt, feeling dependent
  • feeling mostly down and/or hopeless, lack of joy
  • trouble sleeping, waking up, or both
  • decrease in appetite
  • irritability, moodiness, restlessness
  • social withdrawal
  • excessive worry or fear
  • lack of concentration/forgetfulness
  • feeling overwhelmed, difficulty coping or making decisions
  • change in appetite, significant weight loss or weight gain
  • fatigue, exhaustion
  • loss of interest or pleasure
  • decreased sex drive
  • intrusive or repetitive thoughts or mental pictures
  • thoughts or images about the baby being killed
  • overwhelming sense of disgust or horror about thoughts
  • behaviors such as hiding knives, avoiding stairs or high places, or other behaviors to reduce anxiety
  • repetitive counting or checking (baby’s breathing, etc.)
  • fear about health, or of germs
  • extreme anxiety
  • shortness of breath, chest pain, sense or choking, smothering, dizziness
  • profuse sweating, hot or cold flashes, rapid heartbeat, numbness, or tingling
  • feeling like you are going crazy, dying, or loosing control
  • seeing, hearing, or feeling things that others do not
  • delusional thinking, confusion (such as thinking the baby is dead, denial of birth, need to kill the baby, etc.)
  • rage, paranoia, saying things that don’t make sense to others
  • symptoms that come and go
  • hearing voices
  • nightmares
  • reliving traumatic events or experiences
  • episodes of extreme excitement, euphoria, or bursts of energy

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Currently Serving the Kathmandu Valley


Lalitpur, Nepal


+977 98137 67321


All Rights Reserved ©Tiffanie Lloyd 2006-2022
לְאֻ֫מִּ֥ים יִֽשְׂמְח֥וּ וִֽירַנְּנ֗וּ